NGN HESI MED SURG FINAL EXAM PAPER
2026 REAL TESTED QUESTIONS WITH
VERIFIED ANSWERS
⩥ A client with heart disease is on a continuous telemetry monitor and
has developed sinus bradycardia. In determining the possible cause of
the bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A. Propanolol.
B. Captopril.
C. Furosemide.
D. Dobutamine. Answer: A. Propanolol.
Propanolol is a beta adrenergic blocking agent, which causes decreased
heart rate and decreased contractility.
⩥ The nurse assesses a client with advanced cirrhosis of the liver for
signs of hepatic encephalopathy. Which finding would the nurse
consider an indication of progressive hepatic encephalopathy?
A. An increase in abdominal girth.
B. Hypertension and a bounding pulse.
, C. Decreased bowel sounds.
D. Difficulty in handwriting. Answer: D. Difficulty in handwriting.
A daily record in handwriting may provide evidence of progression of
hepatic encephalopathy leading to coma.
⩥ An older adult male client comes to the geriatric screening clinic
complaining of pain in his left calf. The nurse notices a reddened area on
the calf of his right leg which is warm to the touch and suspects it might
be thrombophlebitis. Which type of pain would further confirm this
suspicion?
A. Pain in the calf awakening him from a sound sleep.
B. Calf pain on exertion which stops when standing in one place.
C. Pain in the calf upon exertion which is relieved by rest and elevating
the extremity.
D. Pain upon arising in the morning which is relieved after some
stretching and exercise. Answer: B. Calf pain on exertion which stops
when standing in one place.
Pain in the calf upon exertion which is relieved by rest and elevating the
extremity.
Thrombophlebitis pain is relieved by rest and elevation of the extremity.
It typically occurs with exercise at the site of the thrombus, and is
aggravated by placing the extremity in a dependent position, such as
standing in one place.
2026 REAL TESTED QUESTIONS WITH
VERIFIED ANSWERS
⩥ A client with heart disease is on a continuous telemetry monitor and
has developed sinus bradycardia. In determining the possible cause of
the bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A. Propanolol.
B. Captopril.
C. Furosemide.
D. Dobutamine. Answer: A. Propanolol.
Propanolol is a beta adrenergic blocking agent, which causes decreased
heart rate and decreased contractility.
⩥ The nurse assesses a client with advanced cirrhosis of the liver for
signs of hepatic encephalopathy. Which finding would the nurse
consider an indication of progressive hepatic encephalopathy?
A. An increase in abdominal girth.
B. Hypertension and a bounding pulse.
, C. Decreased bowel sounds.
D. Difficulty in handwriting. Answer: D. Difficulty in handwriting.
A daily record in handwriting may provide evidence of progression of
hepatic encephalopathy leading to coma.
⩥ An older adult male client comes to the geriatric screening clinic
complaining of pain in his left calf. The nurse notices a reddened area on
the calf of his right leg which is warm to the touch and suspects it might
be thrombophlebitis. Which type of pain would further confirm this
suspicion?
A. Pain in the calf awakening him from a sound sleep.
B. Calf pain on exertion which stops when standing in one place.
C. Pain in the calf upon exertion which is relieved by rest and elevating
the extremity.
D. Pain upon arising in the morning which is relieved after some
stretching and exercise. Answer: B. Calf pain on exertion which stops
when standing in one place.
Pain in the calf upon exertion which is relieved by rest and elevating the
extremity.
Thrombophlebitis pain is relieved by rest and elevation of the extremity.
It typically occurs with exercise at the site of the thrombus, and is
aggravated by placing the extremity in a dependent position, such as
standing in one place.
